In the end, then, the massive grassroots struggle to save Lewisham Hospital from government-backed destruction on the advice of the NHS’s own senior officials — which led to two massive demos, in November, and last weekend (see here and here) — proved not to be an end in itself, but just the beginning of a larger battle.

Yesterday, Jeremy Hunt, the health secretary, broadly approved the proposals to close Lewisham Hospital’s A&E Department, replacing it with an “urgent care centre,” unable to deal with emergencies, and have other frontline services, including its maternity services, severely downgraded. The proposals were put forward just three months ago by Matthew Kershaw, an NHS Special Administrator appointed last summer by the former health secretary Andrew Lansley to deal with the bankrupt South London Healthcare Trust, and his recommendations regarding Lewisham came as a shock and surprise to the 250,000 residents of the borough.

Their — our — surprise was understandable. After all, Kershaw had been appointed to make recommendations regarding the fate of the South London Healthcare Trust, based in Greenwich, Bexley and Bromley, and not Lewisham, which is an independent trust. In addition, the SLHT was crippled by PFI debt — which, incidentally, is so monstrously disproportionate that it should have been declared illegal — whereas Lewisham was solvent, but this apparently made no difference to the would-be butchers of NHS services. Read the rest of this entry »